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Active NPI 1154604015 Individual Practitioner Female Practitioner

Samara Robertson , LPN

Licensed Practical Nurse • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Samara Robertson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Marietta, GA. Practice services are available at 2107 STATION CLUB DR SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2107 Station Club Dr Sw

Marietta, GA 300607517

Telephone 6785402857
Associated Practice Facility / Clinic
🏢 Tranquil Embers Mental Health Counseling, Llc Facility NPI 1669365292

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Marietta, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN089484

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2016

Registered at 2107 STATION CLUB DR SW, MARIETTA, GA 300607517 (Tel: 6785402857)

📍
Updated Business Mailing Address January 11, 2016

Registered at 2107 STATION CLUB DR., MARIETTA, GA 300601227 (Tel: 6785402857)

👤
Provider Name / Credentials Updated January 11, 2016

Recorded as SAMARA ROBERTSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2016

Licensed Practical Nurse (License #LPN089484 in GA)

🟢
Initial NPI Registration & Enumeration September 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154604015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2011
Last Update: January 11, 2016
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2107 Station Club Dr.

Marietta, GA 300601227

Phone: 6785402857

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.